HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT

TABLE OF CONTENTS


CHAPTER 1 MEDICAL THREAT AND NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE
Paragraph 1-1. General
1-2.  Medical Threat
1-3. Nuclear, Biological, and Chemical Threat:The Health Services Perspective
 
CHAPTER 2 NUCLEAR, BIOLOGICAL, AND CHEMICAL WEAPONS EFFECTS
Paragraph 2-1. General
2-2. Physical Effects of Nuclear Weapons
2-3. Physiological Effects of Nuclear Weapons
2-4. Biological Effects of Thermal Radiation
2-5. Physiological Effects of Ionizing Radiation
2-6. Effects of Biological Weapons
2-7. Behavior of Biological Weapons
2-8. Effects of Chemical Weapons
2-9. Behavior of Chemical Weapons
2-10. Characteristics of Chemical Agents
 
CHAPTER 3 COMMAND AND CONTROL
Paragraph 3-1. General
3-2. Survival of Initial Effects
3-3. Management of Residual Effects
3-4. Movement/Management of Contaminated Facilities
3-5. Leadership on the Nuclear, Biological, and Chemical Battlefield
 
CHAPTER 4 MEDICAL ASPECTS OF NUCLEAR, BIOLOGICAL, AND CHEMICAL WARFARE
SECTION I NUCLEAR
  4-1. General
4-2. Management of Nuclear Patients
4-3. Handling and Managing Radioactively Contaminated
 
SECTION II BIOLOGICAL
  4-4. General
4-5. Management of Biological Warfare Patients
 
SECTION 111 CHEMICAL
 
CHAPTER 5 ECHELONS I AND II HEALTH SERVICE SUPPORT
Paragraph 5-1. General
5-2. Medical Planning Factors
5-3. Unit-Level Health Service Support
5-4. Division-Level Health Service Support
5-5. Actions Before a Nuclear, Biological, or Chemical Attack
5-6. Actions During a Nuclear, Biological, or Chemical Attack
5-7. Actions After a Nuclear, Biological, or Chemical Attack
5-8. Logistical Considerations
5-9. Personnel Considerations
5-10. Disposition of Treatment Elements
5-11. Civilian Casualties
5-12. Nuclear Environment
5-13. Medical Triage
5-14. Biological Environment
5-15. Chemical Environment
5-16. Operations in Extreme Environments
5-17. Medical Evacuation in a Nuclear, Biological, and Chemical Environment
 
 
CHAPTER 6 HOSPITALIZATION
Paragraph 6-1. General
6-2. Protection
6-3. Decontamination
6-4. Emergency Services
6-5. General Medical Services
6-6. Surgical Services
6-7. Nursing Services
 
CHAPTER 7 OTHER HEALTH SERVICE SUPPORT
SECTION I PREVENTIVE MEDICINE SERVICES
  7-1. General
7-2. Disease Incidence Following the Use of Nuclear Weapons
7-3. Preventive Medicine Section
7-4. Environmental Sanitation Detachment
7-5. Entomology Detachment
SECTION II VETERINARY SERVICES
 
7-6. General
7-7. Food Protection
7-8. Animal Care
7-9. Food Decontamination
 
SECTION III LABORATORY SERVICES
 
7-10. General
7-11. Echelon II
7-12. Echelon III
7-13. Echelon IV
7-14. Zone of Interior
7-15. Field Samples
7-16. Biological Specimens
 
SECTION IV DENTAL SERVICES
 
7-17. General
7-18. Mission in a Nuclear, Biological, or Chemical Environment
7-19. Dental Treatment Operations
7-20. Patient Treatment Considerations
7-21. Patient Protection
 
SECTION V COMBAT STRESS CONTROL
 
7-22. General
7-23. Leadership Actions
7-24. Individual Responsibilities
7-25. Mental Health Personnel/Combat Stress Control Responsibilities
 
SECTION VI HEALTH SERVICE LOGISTICS
 
7-26. General
7-27. Protection of Supplies in Storage
7-28. Protection of Supplies During Shipment
7-29. Organizational Maintenance
 
APPENDIX A GUIDELINES FOR HEALTH SERVICE SUPPORT IN A NUCLEAR, BIOLOGICAL, AND CHEMICAL ENVIRONMENT
Paragraph A-1. General
A-2. Predeployment
A-3. Mobilization
A-4. Establishing a Medical Treatment Facility
A-5. Operate a Medical Treatment Facility Receiving Contaminated Patients
A-6. Preventive Medicine Services
A-7. Veterinary Services
A-8. Dental Services
A-9. Combat Stress Control
A-10. Medical Laboratory Services
A-11. Health Service Logistics
 
APPENDIX B FIELD EXPEDIENT PROTECTIVE SYSTEMS AGAINST NUCLEAR, BIOLOGICAL, AND CHEMICAL ATTACK
Paragraph B-1. General
B-2. Protection Against Radiation
B-3. Expedient Shelters Against Radiation
B-4. Expedient Shelters Against Biological and Chemical Agents
 
APPENDIX C PATIENT DECONTAMINATION PROCEDURES
Paragraph C-1. Prepare Patient Decontamination Chlorine Solutions
C-2. Decontaminate a Chemical Agent Litter Patient
C-3. Decontaminate an Ambulatory Chemical Agent Patient
C-4. Decontaminate Biological Agent-Contaminated Patients
C-5. Decontaminate Biological Agent-Contaminated Litter Patients
C-6. Decontaminate Biological Agent-Contaminated Ambulatory Patients
C-7. Decontaminate Nuclear-Contaminated Patients
C-8. Decontaminate a Nuclear-Contaminated Litter Patient
C-9. Decontaminate a Nuclear-Contaminated Ambulatory Patient
 
APPENDIX D EMPLOYMENT OF CHEMICAL AND BIOLOGICAL COLLECTIVE PROTECTION SHELTER SYSTEMS BY MEDICAL UNITS
Paragraph D-1. Types of Collective Protection Shelter Systems
D-2. Battalion Aid Station
D-3. Division Clearing Station
D-4. Battalion Aid Station in a Chemical Biological Protected Shelter
D-5. Division Clearing Station in a Chemical Biological Protected Shelter
D-6. Collective Protection in a Deployable Medical System-Equipped Hospital
D-7. Hardening the International Organization for Standardization Shelter
D-8. Establish Collective Protection Shelter with the M20E1 Simplified Collective Protection System
D-9. Patient Decontamination
D-10. Entry and Exit Guidelines
D-11. Decontamination of Area Around Entrance
D-12. Procedures Prior to Entry
D-13. Entry/Exit for the Collective Protection Shelter System D-14. Resupply of Protected Areas
 
APPENDIX E DETECTION AND TREATMENT OF CONTAMINATED WATER
Paragraph E-1. General
E-2. Detection of Contamination in Water
E-3. Procedures on Discovery of Contamination in Water
E-4. Treatment of Contaminated Water
 
APPENDIX F FOOD CONTAMINATION AND DECONTAMINATION
Paragraph F-1. General
F-2. Protection of Food From Contamination
F-3. Nuclear
F-4. Biological
F-5. Chemical
 
APPENDIX G BIOLOGICAL SPECIMEN COLLECTION
Paragraph G-1. General
G-2. Specimen Collection, Preservation, and Transport
 
GLOSSARY Glossary-1
REFERENCE References-1
INDEX Index-1

DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. This publication supersedes TC 8-12, 31 May 1983 and TM 8-215, 30 April 1969.


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Chapter 5  ¦ Chapter 6  ¦ Chapter 7  ¦ Appendix A  ¦ Appendix B  ¦ Appendix C  ¦ Appendix D  ¦ Appendix E ¦
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